Organization
SANDERS MEDICAL GROUP, PLLC
Active
Organization
SANDERS MEDICAL GROUP, PLLC
Active
Other names
Sacred Heart Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE SANDERS DO (FOUNDER & MEDICAL DIRECTOR)
(980) 550-2400
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD STE 203, MOORESVILLE, NC 28117-8540
(980) 550-2400
(950) 550-2424
Mailing address
170 MEDICAL PARK RD STE 203, MOORESVILLE, NC 28117-8540
(980) 550-2400
(950) 550-2424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/30/2021
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